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General NPI Number Information
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NPI Number | 1760323596
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Entity Type | Organization
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Legal Business Name | KINDLEGLOW NUTRITION PLLC
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Dates
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Enumeration Date | 04/04/2026
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Last Update Date | 04/04/2026
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Provider Practice Location Address
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Address Line | 853 E 4680 S APT A421
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City | MURRAY
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State | UT
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Zip | 84117-1607
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Country | US
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Telephone | 702-819-0368
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Fax |
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Provider Business Mailing Address
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Address Line | 1887 WHITNEY MESA DR # 5161
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City | HENDERSON
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State | NV
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Zip | 89014-2069
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Country | US
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Telephone | 702-819-0368
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MEGAN JENSEN
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Credential | CEDS-C, MPH, RDN, CD
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Telephone | 702-819-0368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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